| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.82 | $9.83 | $59.77 | |
Aetna
| Professional | $9.83 | $12.72 | $26.40 | |
BCBS
| Facility | $77.56 | $158.16 | $308.33 | |
BCBS
| Professional | $15.00 | $15.00 | $21.02 | |
Cigna
| Facility | $22.90 | $36.53 | $77.86 | |
Cigna
| Professional | $5.75 | $7.13 | $18.07 | |
Medcost
| Facility | $9.44 | $11.34 | $16.71 | |
Medcost
| Professional | $13.46 | $14.96 | $14.96 | |
Molina
| Professional | $6.93 | $6.93 | $9.98 | |
United
| Professional | $5.29 | $7.56 | $15.12 |